Something is fishy with DIV tags and form
The form is only showing 1 field and stopping there. Can you take a look at this?
Looks like a PHP error is occurring that is causing the page not to render completely.
add the following at line 1 to turn on error reporting:
Not sure what you mean- what file do I paste this code in?
The index.php file at line 1.
In the page you have sent, you have removed all of the origianl code that is in the head of the document before the doctype tag, that code must be in place before the doctype tag.
Hold off on looking at the code- I just signed up for the monthly program and see there is another extension.
When I submit the form on the page you provided, I see a blank white page. This means a PHP error has occured. Add the code:
to line one to turn on error reporting.